| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,659 |
1,408 |
$69K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,396 |
1,296 |
$46K |
| 99457 |
|
988 |
791 |
$9K |
| 99306 |
Prolong nursin fac eval 15m |
183 |
140 |
$9K |
| 99458 |
|
822 |
646 |
$6K |
| 99454 |
|
681 |
525 |
$5K |
| 93923 |
|
91 |
80 |
$3K |
| 99490 |
Ccm add 20min |
712 |
514 |
$3K |
| 99439 |
|
595 |
417 |
$3K |
| 99497 |
|
151 |
115 |
$2K |
| 95924 |
|
89 |
80 |
$2K |
| 95923 |
|
91 |
80 |
$2K |
| 99307 |
|
228 |
142 |
$2K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
119 |
89 |
$2K |
| 93922 |
|
92 |
80 |
$1K |
| 99484 |
|
160 |
99 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
48 |
25 |
$882.01 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
44 |
$832.01 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
19 |
12 |
$721.77 |
| 99453 |
|
171 |
129 |
$703.59 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
13 |
$503.05 |
| 99483 |
Prolong outpt/office vis |
26 |
15 |
$468.19 |
| 99492 |
|
18 |
15 |
$296.46 |